ARCHAMBAULT INSURANCE, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
060842103
|
2015-07-27
|
ARCHAMBAULT INSURANCE, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-11-02
|
Business code |
524210
|
Sponsor’s telephone number |
8605269587
|
Plan sponsor’s
address |
PO BOX C, CHESTER, CT, 06412
|
Signature of
Role |
Plan administrator |
Date |
2015-07-24 |
Name of individual signing |
RAYMOND ARCHAMBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-24 |
Name of individual signing |
RAYMOND ARCHAMBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARCHAMBAULT INSURANCE, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
060842103
|
2015-05-05
|
ARCHAMBAULT INSURANCE, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-11-02
|
Business code |
524210
|
Sponsor’s telephone number |
8605269587
|
Plan sponsor’s
address |
BOX C, CHESTER, CT, 06412
|
Signature of
Role |
Plan administrator |
Date |
2015-05-04 |
Name of individual signing |
RAYMOND ARCHAMBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-04 |
Name of individual signing |
RAYMOND ARCHAMBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARCHAMBAULT INSURANCE, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
060842103
|
2014-10-13
|
ARCHAMBAULT INSURANCE, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-11-02
|
Business code |
524210
|
Sponsor’s telephone number |
8605269587
|
Plan sponsor’s
address |
BOX C, CHESTER, CT, 06412
|
Signature of
Role |
Plan administrator |
Date |
2014-10-11 |
Name of individual signing |
RAYMOND ARCHAMBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-11 |
Name of individual signing |
RAYMOND ARCHAMBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARCHAMBAULT INSURANCE, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
060842103
|
2013-10-09
|
ARCHAMBAULT INSURANCE, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-11-02
|
Business code |
524210
|
Sponsor’s telephone number |
8605269587
|
Plan sponsor’s
address |
BOX C, CHESTER, CT, 06412
|
Signature of
Role |
Plan administrator |
Date |
2013-10-08 |
Name of individual signing |
RAYMOND ARCHAMBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-08 |
Name of individual signing |
RAYMOND ARCHAMBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARCHAMBAULT INSURANCE, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
060842103
|
2013-04-26
|
ARCHAMBAULT INSURANCE, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-11-02
|
Business code |
524210
|
Sponsor’s telephone number |
8605269587
|
Plan sponsor’s
address |
BOX C, CHESTER, CT, 06412
|
Plan administrator’s name and address
Administrator’s EIN |
060842103 |
Plan administrator’s name |
ARCHAMBAULT INSURANCE, INC. |
Plan administrator’s
address |
BOX C, CHESTER, CT, 06412 |
Administrator’s telephone number |
8605269587 |
Signature of
Role |
Plan administrator |
Date |
2013-04-24 |
Name of individual signing |
RAYMOND ARCHAMBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-24 |
Name of individual signing |
RAYMOND ARCHAMBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARCHAMBAULT INSURANCE, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
060842103
|
2012-08-07
|
ARCHAMBAULT INSURANCE, INC.
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-11-02
|
Business code |
524210
|
Sponsor’s telephone number |
8605269587
|
Plan sponsor’s
address |
BOX C, CHESTER, CT, 06412
|
Plan administrator’s name and address
Administrator’s EIN |
060842103 |
Plan administrator’s name |
ARCHAMBAULT INSURANCE, INC. |
Plan administrator’s
address |
BOX C, CHESTER, CT, 06412 |
Administrator’s telephone number |
8605269587 |
Signature of
Role |
Plan administrator |
Date |
2012-08-06 |
Name of individual signing |
RAYMOND ARCHAMBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-08-06 |
Name of individual signing |
RAYMOND ARCHAMBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARCHAMBAULT INSURANCE, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
060842103
|
2012-12-26
|
ARCHAMBAULT INSURANCE, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-11-02
|
Business code |
524210
|
Sponsor’s telephone number |
8605269587
|
Plan sponsor’s
address |
BOX C, CHESTER, CT, 06412
|
Plan administrator’s name and address
Administrator’s EIN |
060842103 |
Plan administrator’s name |
ARCHAMBAULT INSURANCE, INC. |
Plan administrator’s
address |
BOX C, CHESTER, CT, 06412 |
Administrator’s telephone number |
8605269587 |
Signature of
Role |
Plan administrator |
Date |
2012-12-21 |
Name of individual signing |
RAYMOND ARCHAMBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-12-21 |
Name of individual signing |
RAYMOND ARCHAMBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARCHAMBAULT INSURANCE, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
060842103
|
2011-05-09
|
ARCHAMBAULT INSURANCE, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-11-02
|
Business code |
524210
|
Sponsor’s telephone number |
8605269587
|
Plan sponsor’s
address |
BOX C, CHESTER, CT, 06412
|
Plan administrator’s name and address
Administrator’s EIN |
060842103 |
Plan administrator’s name |
ARCHAMBAULT INSURANCE, INC. |
Plan administrator’s
address |
BOX C, CHESTER, CT, 06412 |
Administrator’s telephone number |
8605269587 |
Signature of
Role |
Plan administrator |
Date |
2011-05-09 |
Name of individual signing |
RAYMOND ARCHAMBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-09 |
Name of individual signing |
RAYMOND ARCHAMBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|